Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
Inactive
Individual
Inactive
Sole proprietor
Provider details
NPI number
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A23418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A23418
STATE MEDICAL LICENSE
CA
01
—
YYY48961Y
BLUE SHIELD OF CALIF GR#
CA
05
—
YYY48961Y
—
CA
Enumeration date
—
Last updated
—
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up